Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1629157649
Practice Locations (4)
GREAT LAKES PHYSICIAN PRACTICE PC
15 S MAIN ST
JAMESTOWN, NY 147016627
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7169343641
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
GREAT LAKES PHYSICIAN PRACTICE PC
113 MAIN ST
SILVER CREEK, NY 141361452
7169543641
Source: CMS National Downloadable File, September 2026.